Blood pressure measuring appliance

• US 4,907,596 A
• Filed: 09/23/1986
• Issued: 03/13/1990
• Est. Priority Date: 09/23/1985
• Status: Expired due to Term

• Current Assignee: Map Medizintechnik Fr Arzt Und Patient GmbH & Co. KG
• Original Assignee: Walter Schmid
• Inventors: Schmid, Walter, Schwab, Bernhard
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): SHAY, DAVID M
• Application Number:
  US06/910,487
• Time in Patent Office: 1,267 Days
• Field of Search: 128/672, 128/687, 128/695, 128/696, 128/700, 128/706, 128/708, 128/710, 128/714, 128/689, 128/677, 128/680, 128/690, 128/705
• US Class Current: 600/485
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval

Abstract

A blood pressure measuring appliance having a pulse beat detector responding to arterial pulse beats, an ECG signal detector and a time measuring apparatus which ascertains the time intervals between peaks of a predetermined type of the ECG signal detected by the ECG signal detector, preferably its R-peaks, and pulse beats in each case following the R-peaks and detected by the pulse beat detector. A display apparatus displays a datum representing the duration of the ascertained time intervals as blood pressure information. The blood pressure measuring appliance must merely be calibrated initially, for example, with the aid of a sphygmomanometer, in blood pressure values. The inflatable bag can be eliminated for further blood pressure measurements.

Claims

1. A blood pressure measuring appliance comprising:

(a) a pulse beat detector for detecting arterial pulse beats, the pulse beat detector comprising an active sensor having a measuring signal transmitter connected to an impulse generator having an impulse frequency selected to be equal to an integral multiple greater than or equal to twice a line voltage frequency, delivering a measuring signal of impulse form and two measuring signal receivers spaced from one another and from the measuring signal transmitter, which respond to the measuring signal in dependence upon the pulse beat, and wherein the measuring signal receivers are coupled to a selector circuit which is responsive to signal amplitudes of the received measuring signals;

(b) an ECG signal detector having at least two ECG electrodes for determination of ECG signals, and an evaluation circuit selectively responding to ECG signal peaks of a predetermined type and amplifying the ECG signals of the ECG electrodes, the ECG electrodes being contactable to skin;

(c) a time measuring means for determination of time intervals between a predetermined ECG signal peak acquired by the ECG signal detector and the pulse beats acquired by the pulse beat detector, respectively, following the predetermined peak, the selector circuit delivering the received measuring signal having a greater of the signal amplitudes in each case for controlling said time measuring means;

(d) a blood pressure display means for displaying the duration of time interval determined by the time measuring means as blood pressure information;

(e) a signal transmission arrangement optically coupling the evaluation circuit of the ECG signal detector with the time measuring means;

(f) a first operational voltage source supplying exclusively the ECG signal detector including the optical signal transmission arrangement; and

(g) a second operational voltage source supplying the remaining components of the blood pressure measuring appliance independent of the first operational voltage source.

2. A blood pressure measuring appliance according to claim 1, wherein the selector circuit is coupled through separate amplitude control stages to the two measuring signal receivers, and wherein an averaging stage is coupled to the selector circuit which delivers to the separate amplitude control stages an amplitude control signal dependent on an average value over time of the selected received measuring signal, said control signal maintaining an amplitude mean value of the received measuring signal delivered by the selector circuit substantially constant at a predetermined value.

3. A blood pressure measuring appliance according to claim 1, wherein pulse amplitude demodulators are respectively connected between said measuring signal receivers and the selector circuit and band-pass filters are respectively connected between the pulse amplitude demodulators and the selector circuit.

4. A blood pressure measuring appliance according to claim 3, wherein each of the band-pass filters has a pass band covering a span of approximately 4 Hz to 45 Hz.

5. A blood pressure measuring appliance according to claim 1, wherein the measuring signal transmitter is formed as an infrared luminescence diode and the measuring signal receivers are each formed as infrared photodiodes, wherein the infrared luminescence diode is fed from a constant current source and wherein the infrared photodiodes have respective current-to-voltage converters connected thereto.

6. A blood pressure measuring appliance according to claim 1, wherein said time measuring means is formed as a microprocessor circuit which is connected through a temporary stored to the ECG signal detector and the pulse beat detector, and wherein a quartz-stabilized timer circuit is connected to the microprocessor circuit for the formation of a measuring time standard for the microprocessor circuit.